Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lakeside Hospital Internal Medicine Group

Internal Medicine Physician in Brockport, NY · enumerated 2007 · authorized official Rajendra Mehta, Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962555854

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Hospital Internal Medicine Group

Practice address 156 West Ave, Brockport, NY, 14420

Phone (585) 395-6095

Fax (585) 395-6036

Enumeration date Jan 22, 2007

Last updated in NPPES Jul 14, 2009

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Rajendra Mehta

Title Partner

Phone (585) 637-9196

Other identifiers

Identifier	Type	State	Issuer
G0181141590	Other	NY	BLUE CROSS
02198570	Medicaid	NY	-
MG150	Other	NY	PREFERRED CARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Lakeside Hospital Internal Medicine Group located?

The practice location on file with NPPES is in Brockport, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-14.